For adjuvant cases with incontinence, wait for incontinence to improve to a plateau but not beyond PSA of 2. (my thoughts)

Field size for Adjuvant/ Salvage RT

The two published randomized trials (SWOG 8794 by Swanson and EORTC 22911 by Bolla) that demonstrate reduced biochemical recurrence with postoperative radiotherapy in high risk prostate cancer use treatment volumes that are smaller than whole pelvis and neither trial used ADT with radiotherapy.

SWOG 8794 Field

9x9 or 10x10 Field with following borders

The inferior margin of this field will be the lower border of the ischial tuberosities

The lateral fields should extend from the level of the mid rectum to the mid symphysis.

The use of an indwelling bladder catheter with contrast in the balloon or retrograde urethrography is mandatory for simulation.

Specific instruction should be made in the treatment sheets to assure a full bladder during delivery of treatments.